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Louis Ortiz is an aspiring author finishing his debut novel. Before applying the final touches, he gives the manuscript to his longtime friend, Naomi, on the eve of her life-threatening operation. The manuscript, entitled "The Book of Isabel," is an autobiographical story set in 1999, where Louis first learns to come to grips with lost loves and strained friendships. Taking place in Syracuse and New York City, this story within a story is a continuation of "Hanging Upside Down," that explains Isabel's role in Louis' life and asks the question, do friends really last forever?

Anthony Otero's first book is a first person narrative about men who make continual bad decisions in their love lives. Louis Ortiz is a student affairs professional looking to advance his career after a painful divorce. His life is turned around when he has to deal with life altering experiences surrounding his close friend, Frank. The story includes plot twists involving friendship, sex, and true love.